NPI | 1861665770 |
---|---|
Doing Business As | JALAL K SIDANI DPM |
Entity Type | Organization |
Authorized Contact | JALAL K SIDANI Podiatrist 850-769-1055 |
Organization Subpart ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: FL P02326) |
Enumeration Date | 2008-04-11 |
Last Update Date | 2013-03-07 |